Early diagnosis and endovascular management of uterine artery pseudoaneurysm after laparoscopic-assisted myomectomy.
OBJECTIVE
To describe the diagnosis and management of uterine artery pseudoaneurysm after laparoscopic-assisted myomectomy.


METHODS
Case reports.


METHODS
Departments of Obstetrics and Gynecology and Radiology at General Hospital.


METHODS
A 32-year-old woman and a 41-year-old woman each developed uterine artery pseudoaneurysm after laparoscopic-assisted myomectomy.


METHODS
Uterine artery pseudoaneurysm after laparoscopic-assisted myomectomy was diagnosed on ultrasonography, computerized tomographic angiography, and digital subtraction angiography, and treated by transcatheter arterial embolization.


METHODS
Uterine conservation.


RESULTS
Fertility preservation was achieved in both of these women who developed uterine artery pseudoaneurysm after laparoscopic-assisted myomectomy.


CONCLUSIONS
Early diagnosis and endovascular management of uterine artery pseudoaneurysm after myomectomy are important to prevent life-threatening hemorrhage caused by pseudoaneurysmal rupture.
Takeda
Akihiro
A
Department of Obstetrics and Gynecology, Gifu Prefectural Tajimi Hospital, Tajimi, Gifu, Japan. Electronic address: gyendoscopy@gmail.com.
Koyama
Kazuyuki
K
Department of Radiology, Gifu Prefectural Tajimi Hospital, Tajimi, Gifu, Japan.
Imoto
Sanae
S
Department of Obstetrics and Gynecology, Gifu Prefectural Tajimi Hospital, Tajimi, Gifu, Japan.
Mori
Masahiko
M
Department of Obstetrics and Gynecology, Gifu Prefectural Tajimi Hospital, Tajimi, Gifu, Japan.
Sakai
Kotaro
K
Department of Obstetrics and Gynecology, Gifu Prefectural Tajimi Hospital, Tajimi, Gifu, Japan.
Nakamura
Hiromi
H
Department of Obstetrics and Gynecology, Gifu Prefectural Tajimi Hospital, Tajimi, Gifu, Japan.
D000328:Adult; D017541:Aneurysm, False / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery*; D042241:Early Diagnosis; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods; D009214:Myoma / Q000601:surgery; D016491:Peripheral Vascular Diseases / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery*; D055357:Uterine Artery Embolization / Q000379:methods*; D014594:Uterine Neoplasms / Q000601:surgery; D014599:Uterus / Q000098:blood supply*